NPI | 1184941163 |
---|---|
Former Name | BRENDA A DIONNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME OT575) |
261QR0400X Clinic/Center, Rehabilitation (Licence: ME OT575) | |
Enumeration Date | 2010-04-29 |
Last Update Date | 2023-12-19 |